Organization
WALKER SQUARE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EDWIN BROWN JR. (PRESIDENT)
(405) 355-3239
Entity
Organization
Contact information
Practice address
309 SW 59TH ST STE 305, OKLAHOMA CITY, OK 73109-8324
(405) 355-3239
Mailing address
4334 NW EXPRESSWAY STE 187, OKLAHOMA CITY, OK 73116-1515
(405) 355-3239
(405) 212-4270
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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